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The GuideLiner: an interventionists experience of their first 50 cases: the mostly good, rarely bad, beware of the ugly

N Sambu, J Fernandez, NC Shah & P OKane

The past two decades have witnessed significant advances in interventional cardiology. Development of new devices, adjunctive techniques and pharmacotheraputics have been necessary to meet the demand of increasingly complex cases that are now routinely referred and accepted for percutaneous coronary intervention (PCI). Chronically occluded vessels, excessively tortuous coronary anatomy and severe calcific coronary disease typically encountered in the elderly population and/or those deemed unsuitable for surgical revascularization present as daily challenges. A contemporary interventional cardiologist must be equipped with the necessary tools and expertise to safely and effectively tackle these demanding cases.